ArticleBJPsych open2025
Psychometric validation of the Italian Gender Preoccupation and Stability Questionnaire in a gender-diverse clinical sample.
Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundUnderstanding gender identity in transgender and gender-diverse (TGD) individuals is crucial for effective care. The Gender Preoccupation and Stability Questionnaire (GPSQ) measures the preoccupation and stability of gender identity, but no Italian validation is available.
aimsThis study aimed to translate, culturally adapt and validate the Italian version of the GPSQ in a clinical sample of TGD adults.
methodThe GPSQ was translated with a forward-backward method and completed by 151 TGD adults at a gender clinic. Participants also filled out the Symptom Checklist-58 and Body Uneasiness Test. We assessed structural validity (EFA), internal consistency, test-retest reliability, and examined known-groups and predictive validity.
resultsThe EFA supported a four-factor structure - Gender Identity Instability, Cognitive-Affective Salience, Preoccupation, and Distress/Intervention-Oriented Reflection - with good fit (root mean square error of approximation 0.06; Comparative Fit Index 0.95; Tucker-Lewis Index 0.93; standard root mean square residual 0.04). The GPSQ showed solid internal consistency (
conclusionsThe Italian GPSQ is a reliable and valid tool to assess gender-related preoccupation and identity instability in TGD individuals. Its multidimensional structure makes it useful in both clinical practice and research in the Italian context.
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